Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 101-0005989 | VT |
NPI | 1003035536 |
---|---|
Provider Name | June B. Aschenbach |
First Address | Hinesburg, VT 05461-9050 |
Second Address | Hinesburg, VT 05461-9050 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 08/07/2007 |